Grayson Collins Electric Employees Find Compassionate Urgent Care

Zero-Dollar PPO Visits at Z-2-H™ Texas Clinics

When you or a family member needs medical attention, understanding your health benefits can help make the experience less stressful. Z-2-H™ Family Med & Urgent Care Clinic provides compassionate primary care, family medicine, and urgent care at eligible Texas locations.

Grayson Collins Electric Cooperative employees enrolled in the PPO Plan may have access to participating providers through the EHN Preferred Network. Members should confirm their eligibility and the clinic’s network participation before receiving care.

What Does the Grayson Collins PPO Plan Include?

According to the available plan information, the Grayson Collins Electric Cooperative PPO Plan includes:

• A $0 copay for primary care visits

• A $0 copay for specialist visits

These amounts may not apply to every service received during an appointment. Laboratory testing, imaging, medications, procedures, medical supplies, and additional services may be processed separately.

Your responsibility may depend on eligibility, network participation, medical necessity, prior authorization, and the services provided. An insurance card does not guarantee coverage or payment.

For scheduling assistance, call Z-2-H at (469) 283-0076.

Can Employees Visit Z-2-H for Medical Care?

Eligible Grayson Collins Electric Cooperative employees and their covered family members may visit Z-2-H for primary care, urgent care, preventive services, and many everyday health concerns.

The medical team can evaluate and treat concerns such as:

• Cold and flu symptoms

• Cough, congestion, or sore throat

• Fever and body aches

• Ear pain or ear infections

• Headaches and migraines

• Nausea, vomiting, or diarrhea

• Urinary symptoms

• Minor infections

• Mild allergic reactions

• Rashes and skin concerns

• Minor injuries

• Routine primary care concerns

• Chronic condition follow-ups

• Preventive care and physical examinations

Coverage depends on the member’s eligibility, medical needs, benefits, network status, and the services provided.

Call 911 or visit the nearest emergency room for chest pain, severe breathing difficulty, signs of a stroke, fainting, confusion, uncontrolled bleeding, major trauma, or another life-threatening emergency.

Who Administers the Grayson Collins PPO Plan?

Boon-Chapman is the third-party administrator for the Grayson Collins Electric Cooperative PPO Plan.

Boon-Chapman can assist members and providers with:

• Eligibility verification

• Medical benefit questions

• Prior-authorization requirements

• Claim-status questions

• Copays and cost-sharing information

• Provider-network participation

Call Boon-Chapman at (800) 252-9653 or visit the Boon-Chapman Website. Its provider portal also supports eligibility, benefit, and claim-status inquiries.

Have the member identification number from your insurance card available when requesting assistance.

How Do I Verify My Benefits?

Before scheduling an appointment, contact Boon-Chapman at (800) 252-9653 and ask:

• Does Z-2-H participate with my specific PPO Plan?

• Is the requested medical service covered?

• Does the $0 primary care copay apply to this visit?

• What costs apply to laboratory tests or other services?

• Is prior authorization required?

• Are there clinic or network restrictions?

• Will I have a time-of-service responsibility?

Write down the representative’s name, the date of the call, and the reference number. Final coverage is determined when the plan processes the claim.

Z-2-H can collect your insurance information before the visit, but Boon-Chapman provides the official explanation of plan benefits.

Is Prior Authorization Required?

Prior-authorization requirements depend on the medical service being requested.

Members and providers should contact Boon-Chapman at (800) 252-9653 before receiving a service that may require approval. The Boon-Chapman Provider Portal can also be used to review eligibility, benefits, and claim information.

Prior authorization does not guarantee payment. Current eligibility, medical necessity, network participation, and plan limitations may still affect how the claim is processed.

What Network Does the Plan Use?

The Grayson Collins Electric Cooperative PPO Plan uses the EHN Preferred Network. This network includes Baylor Scott & White Quality Alliance providers who have chosen to participate.

Not every Baylor Scott & White Quality Alliance provider participates in this network. Members should confirm that their preferred Z-2-H location participates with their specific PPO Plan before scheduling.

To locate or verify an in-network provider:

• Call Boon-Chapman at (800) 252-9653

• Use the Boon-Chapman member or provider resources

• Contact BSWQA Care Navigation at 1-844-279-7589

Provide the employer name, plan name, member identification number, clinic location, and requested service when confirming participation.

Are Specialist Referrals Required?

The available Grayson Collins Electric Cooperative plan information does not list a general specialist-referral requirement.

Certain specialist visits, procedures, tests, or treatments may still require prior authorization. Contact Boon-Chapman before beginning specialist care to confirm the current requirements for your plan.

What Should I Bring to My Appointment?

Please bring or prepare:

• Your Grayson Collins Electric Cooperative insurance card

• A photo identification card

• A current medication list

• Known medication or food allergies

• Relevant medical records

• Recent laboratory or imaging results

• Any referral or authorization documents

• A description of your symptoms

• The date your symptoms began

• Your preferred pharmacy information

Providing complete and accurate information can help prevent delays with eligibility verification and claim processing.

Claims Information for Providers

Grayson Collins Electric Cooperative claims are administered through Boon-Chapman.

Electronic claims: Payor ID 74238

Mailed claims:

Boon-Chapman
P.O. Box 9201
Austin, TX 78766

Boon-Chapman’s official materials confirm the Austin mailing address and ZIP code. Providers should verify the member’s eligibility and current claim-submission instructions before sending a claim.

Compassionate Care at a Texas Clinic

Z-2-H works to make primary and urgent care easier to access and understand. Whether you need help with a sudden illness, a minor injury, preventive care, or an ongoing health concern, the medical team will listen and help you understand the appropriate next step.

When you are ready, Book an Appointment or call (469) 283-0076. Please have your Grayson Collins Electric Cooperative insurance card available so your eligibility and benefits can be reviewed before the visit.